- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,663.00 / $23,195.50 / $32,842.40
| Facility | | $12,663.00 | $23,195.50 | $32,842.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,894.05 / $20,711.16 / $32,589.07
| Facility | | $12,894.05 | $20,711.16 | $32,589.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,165.68 / $20,865.61 / $37,123.23
| Facility | | $13,165.68 | $20,865.61 | $37,123.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $19,470.87 / $43,898.29
| Facility | | $7,117.00 | $19,470.87 | $43,898.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $19,257.80 / $39,010.31
| Facility | | $3,308.00 | $19,257.80 | $39,010.31 |